rlease complete the registration and permission form below and click Submit.


PARTICIPANT INFORMATION

Date     AWANA Club  

Child's Full Name

DOB    Grade    Gender  F  M

Church Family Attends


PARENT INFORMATION

Parent/Legal Guardian Full Name (1)

Address (include apt/unit #)


City  

State      Zip Code 

Home Phone Number  

Cell Phone Number     

Email 


Parent/Legal Guardian Full Name (2)

Address (include apt/unit #)

 Same as above


City  

State      Zip Code 

Home Phone Number  

Cell Phone Number     

Email 


PHOTOGRAPHS

Your child's photograph may be taken while attending AWANA at First Baptist Church of Land O' Lakes. For liability reasons, it is required we have parental permission to publish your child's picture on the church's website and/or social media. 

 YES   NO


IN CASE OF EMERGENCY

(when the parent or guardian cannot be reached), First Baptist Church should contact the following:

Name of Emergency Contact


Phone Number 

Relationship to Child 


ALLERGIES

Please list any allergies, medical conditions, or other special conditions the leaders should be aware of:



Please read the following information below about First Baptist Church of Land O' Lakes and provide your name in the space provided.

 I.    We at First Baptist Church of Land O' Lakes believe the Bible is God's Word.

II.   Our purpose as a Bible-believing church (Matthew 28:19-20):

       a. To present the Gospel

       b. To teach the Bible

III. Along with teaching God's Word, the AWANA program involves indoor and   

       outdoor activities


I UNDERSTAND AND HEREBY AGREE TO ASSUME ALL OF THE RISKS WHICH MAY BE ENCOUNTERED ON SAID ACTIVITIES,  INCLUDING ACTIVITIES PRELIMINARY AND SUBSEQUENT THERETO. I do hereby agree to hold First Baptist Church of Land O' Lakes, Land O' Lakes, FL, and its pastors, officers, agents, employees, bus workers, bus drivers, teachers, and volunteers harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my child or property, even injury resulting in death, which I now have or which may arise in the future, in connection with participation in the described activity or in any other associated activities.


I understand the purpose and beliefs of the First Baptist Church of Land O' Lakes. Understanding this and by submitting this form electronically with my full name, I give my permission for the child listed below to attend church and to be taught the Bible.


My child  has my permission to attend the children's weekly ministry of AWANA at First Baptist Church of Land O' Lakes.


Parent/Guardian Full Name   Date